The challenge of living with diabetes in women and younger adults : A structural equation model
(2017) In Primary Care Diabetes 11(5). p.467-473- Abstract
Background: Attitudes toward diabetes care are different between genders and age-groups. Furthermore, diabetes related challenges may cause psychosocial problems. Therefore, we were to compare the psychosocial status and glycemic control in women and men with type 2 diabetes (T2D) in different age-groups. Methods: 441 adults with T2D were recruited. Demographic, self-care behavior, resources and affective variables as well as the health related quality of life (HRQoL) were measured. The median age of 55 was used as the cut-off for the age comparison. Structured equation modeling (SEM) investigated the relationship between age, gender, psychosocial factors and glycemic control. Results: Finally, 203 women and 177 men completed the study... (More)
Background: Attitudes toward diabetes care are different between genders and age-groups. Furthermore, diabetes related challenges may cause psychosocial problems. Therefore, we were to compare the psychosocial status and glycemic control in women and men with type 2 diabetes (T2D) in different age-groups. Methods: 441 adults with T2D were recruited. Demographic, self-care behavior, resources and affective variables as well as the health related quality of life (HRQoL) were measured. The median age of 55 was used as the cut-off for the age comparison. Structured equation modeling (SEM) investigated the relationship between age, gender, psychosocial factors and glycemic control. Results: Finally, 203 women and 177 men completed the study (86.1%). There was no significant difference in mean duration of T2D, or glycemic control between genders or age-groups. Women, especially those below the median age of 55, had significantly higher level of diabetes-related distress (2.16. ±. 0.94 vs. 1.92. ±. 0.81), depression (9.67. ±. 5.37 vs. 7.54. ±. 5.06), and anxiety (19.81. ±. 12.04 vs. 12.81. ±. 9.04, P. <. 0.05 for all comparisons), while people above the age of 55 reported better self-management and patient-physician relationship. HRQoL was lower in women compared to men (0.77. ±. 0.23 vs. 0.81. ±. 0.18, P = 0.02). The final SEM suggested that the effect (standardized β coefficient) of gender and age on affective variables was 0.25 and -0.19 (P. <. 0.05), respectively, though psychosocial factors did not directly influence HbA1c. Conclusions: This study shows that psychosocial factors are associated with age and gender in patients with T2D; with younger women demonstrating higher level of depressive symptoms, anxiety, and diabetes-related distress independent of status of glycemic control.
(Less)
- author
- Aghili, Rokhsareh ; Ridderstråle, Martin LU ; Kia, Maryam ; Ebrahim Valojerdi, Ameneh ; Malek, Mojtaba ; Farshchi, Amir and Khamseh, Mohammad Ebrahim
- organization
- publishing date
- 2017-05-31
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Age, Diabetes, Gender, Psychosocial factors, Type 2
- in
- Primary Care Diabetes
- volume
- 11
- issue
- 5
- pages
- 467 - 473
- publisher
- Elsevier
- external identifiers
-
- scopus:85020030570
- pmid:28579058
- wos:000411848800009
- ISSN
- 1751-9918
- DOI
- 10.1016/j.pcd.2017.05.001
- language
- English
- LU publication?
- yes
- id
- cc4b61c1-d3de-45f0-9839-3035ffcd2fe1
- date added to LUP
- 2017-06-16 12:07:36
- date last changed
- 2024-06-09 18:32:42
@article{cc4b61c1-d3de-45f0-9839-3035ffcd2fe1,
abstract = {{<p>Background: Attitudes toward diabetes care are different between genders and age-groups. Furthermore, diabetes related challenges may cause psychosocial problems. Therefore, we were to compare the psychosocial status and glycemic control in women and men with type 2 diabetes (T2D) in different age-groups. Methods: 441 adults with T2D were recruited. Demographic, self-care behavior, resources and affective variables as well as the health related quality of life (HRQoL) were measured. The median age of 55 was used as the cut-off for the age comparison. Structured equation modeling (SEM) investigated the relationship between age, gender, psychosocial factors and glycemic control. Results: Finally, 203 women and 177 men completed the study (86.1%). There was no significant difference in mean duration of T2D, or glycemic control between genders or age-groups. Women, especially those below the median age of 55, had significantly higher level of diabetes-related distress (2.16. ±. 0.94 vs. 1.92. ±. 0.81), depression (9.67. ±. 5.37 vs. 7.54. ±. 5.06), and anxiety (19.81. ±. 12.04 vs. 12.81. ±. 9.04, P. <. 0.05 for all comparisons), while people above the age of 55 reported better self-management and patient-physician relationship. HRQoL was lower in women compared to men (0.77. ±. 0.23 vs. 0.81. ±. 0.18, P = 0.02). The final SEM suggested that the effect (standardized β coefficient) of gender and age on affective variables was 0.25 and -0.19 (P. <. 0.05), respectively, though psychosocial factors did not directly influence HbA1c. Conclusions: This study shows that psychosocial factors are associated with age and gender in patients with T2D; with younger women demonstrating higher level of depressive symptoms, anxiety, and diabetes-related distress independent of status of glycemic control.</p>}},
author = {{Aghili, Rokhsareh and Ridderstråle, Martin and Kia, Maryam and Ebrahim Valojerdi, Ameneh and Malek, Mojtaba and Farshchi, Amir and Khamseh, Mohammad Ebrahim}},
issn = {{1751-9918}},
keywords = {{Age; Diabetes; Gender; Psychosocial factors; Type 2}},
language = {{eng}},
month = {{05}},
number = {{5}},
pages = {{467--473}},
publisher = {{Elsevier}},
series = {{Primary Care Diabetes}},
title = {{The challenge of living with diabetes in women and younger adults : A structural equation model}},
url = {{http://dx.doi.org/10.1016/j.pcd.2017.05.001}},
doi = {{10.1016/j.pcd.2017.05.001}},
volume = {{11}},
year = {{2017}},
}